Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abroms Dougherty Vision ASC LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1790384303

Abroms Dougherty Vision ASC LLC is an Ambulatory Surgical Clinic/Center in San Luis Obispo, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4472 Broad St Ste 150
San Luis Obispo, CA 93401-7990
Phone: (805) 548-1051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1790384303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clifton Bazhaw — Chief Revenue Officer · (214) 893-0471
NPI enumeratedOctober 23, 2020
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address4472 Broad St Ste 150, San Luis Obispo, CA 93401-7990

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